Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Benjamin Ogalesco Ilagan III, PT

Individual provider Physical Therapist · NPI 1538433669

Mr. Benjamin Ogalesco Ilagan III, PT is a Physical Therapist in Private Practice in Churchville, Maryland. Qualified in 1992, 34 years ago. Practices with Prime Light Health Services, a 6-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
34
Licensed in
MD
In the registry since
2012
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

200 Clear View Ct
Churchville, MD 21028-1606
Phone: (410) 734-4818
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 18395 (MD)

Record details

NPI number1538433669
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedMarch 7, 2012
Last updated in NPPESMarch 7, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Prime Light Health Services — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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